| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $120.23 | $154.88 | $338.84 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $645.65 | $1,445.44 | $2,398.83 | |
United
| Professional | $125.89 | $229.09 | $436.52 |